Loss of Thumb with Metacarpal Resection — VA Disability Rating (DC 5150)

Diagnostic Code 5150 · 38 CFR §4.71a

What Is It?

Amputation of the thumb including metacarpal resection (ray amputation). Rated at 50% dominant or 40% non-dominant. Most severe isolated thumb loss.

Rating Criteria

RatingCriteria
40%Non-dominant extremity: amputation with metacarpal resection. Rated at 40%.
50%Dominant extremity: amputation with metacarpal resection. Rated at 50%.

Evidence Needed

Service treatment records or VA medical records documenting the amputation. Operative reports if surgical. Documentation of the specific amputation level. Prosthetic evaluation records. For traumatic amputations, line of duty determination and incident documentation.

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